Organization Active NPI

Vivakeso LLC

  • Sleep Medicine (Internal Medicine) Physician
  • Vancouver, WA
National Provider Identifier
1932754140
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
VIVAKESO LLC
Practice address
2718 NE 152ND Ave
Vancouver, WA 98684-7887
Phone
(817) 723-1462
NPI assigned
Aug 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephanie Alexis Arnold, RPSGT, RST, CCSH
Title
Owner
Phone
(817) 723-1462

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2718 NE 152ND Ave
Vancouver, WA 98684-7887

Mailing address

2718 NE 152ND Ave
Vancouver, WA 98684-7887
Phone (817) 723-1462

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1932754140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 NE 152ND AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986847887",
            "telephone_number": "817-723-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 NE 152ND AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986847887",
            "telephone_number": "817-723-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVAKESO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-723-1462",
        "authorized_official_credential": "RPSGT, RST, CCSH"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.